KIPTON J V LUNDQUIST (NPI# 1891722260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891722260 |
| Entity Type | Individual |
| Full Name | KIPTON J V LUNDQUIST |
| Practice Address |
701 Park Ave P5 Minneapolis MN 55415-1623 |
| Mailing Address |
5933 Tamarac Ave Edina MN 55436-1745 |
| Practice Telephone | 6128732810 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
24005 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 933567600 | 05 |
| Street Address |
701 PARK AVE P5 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55415-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387734 | David C Templeman | Orthopaedic Surgery | 701 Park Ave, Department of Orthopedics, Minneapolis, MN 55415-1623 | 2005-06-23 |
| 1164029336 | James Wayne Fisher | Psychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-10-01 |
| 1396351482 | Emily Ann Beck | Physical Therapist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-09-23 |
| 1932714524 | Manju Elizabeth Alexander | Psychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-09-10 |
| 1043838675 | Ayan Hashi | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-07-09 |
| 1366068561 | Roberto Emilio Fu Carrasco | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-06-23 |
| 1104448810 | Michael Berryman | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-15 |
| 1811519192 | Viktoriya A. Ishchuk | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-10 |
| 1861014235 | Abdurahman Salah Ibrahim | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-08 |
| 1962024430 | Timothy Baerg | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1598326951 | Monazza Iqbal Chaudhry | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 | 2019-06-26 |
| 1760947196 | Brandon Haas | Pharmacist | 701 Park Ave Rll, Minneapolis, MN 55415 | 2019-02-11 |
| 1710474192 | Andrea Kramer | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-20 |
| 1750888640 | Alexandra Rose Coward | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-09 |
| 1194235861 | Gretchen Jane Vanderlinden-wang | Social Worker | Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 | 2017-10-06 |
| 1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1215469689 | Michael Reitz | Student in an Organized Health Care Education/Training Program | 701 Park Avenue, B5.118, Minneapolis, MN 55415 | 2017-04-03 |
| Find all providers in zip 55415 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344810 | Kovanda Aesthetic Surgery | Surgery | 3033 Excelsior Blvd Ste 10, Minneapolis, MN 55416-5147 | 2020-07-29 |
| 1518484930 | Allina Health System | Surgery | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-08-25 |
| 1770527277 | George L Peltier | Surgery | 701 Park Ave, P5, Minneapolis, MN 55415-1623 | 2006-06-15 |
| 1730156274 | Minneapolis Plastic Surgery Ltd | Surgery | 4825 Olson Memorial Hwy, #200, Minneapolis, MN 55422 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457519571 | Frank L Wolf Md Pa | Surgery | 324 West Superior Street, Suite 1025, Duluth, MN 55802-1777 | 2008-05-27 |
| 1427248210 | Dr. Jonathan Witzke, Pa | Surgery | 7373 France Ave S Ste 510, Edina, MN 55435-4551 | 2007-07-27 |
| 1144248956 | Thomas L Satterberg | Surgery | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
| 1124046933 | John A Ness | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2006-07-18 |
| 1790778090 | James Philip Wire | Surgery | 3000 Hundertmark Rd, Suite 6, Chaska, MN 55318-1150 | 2005-08-23 |
| 1578569539 | Richard S Werner | Surgery | 6545 France Ave. S, Suite 276, Edina, MN 55435 | 2005-06-24 |
| 1730182270 | George Harold Landis | Surgery | 109 Bushaway Rd, Suite 200, Wayzata, MN 55391-1945 | 2005-05-29 |
| 1851991079 | Omni Medical Center Pllc | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2020-10-27 |
| 1679885164 | Harrington Plastic Surgery, Pa | Surgery | 7373 France Ave S, 510, Edina, MN 55435-4534 | 2010-07-13 |
| 1447484159 | Kovanda Plastic Surgery, Pllc | Surgery | 4999 France Ave S Ste 210, Edina, MN 55410-2168 | 2009-05-08 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55415 |
Please comment or provide details below to improve the information on KIPTON J V LUNDQUIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.